Active NPIIndividual providerSole proprietor

Katherine L Chisholm, PHD, MBA, LPC

Counselor, Professional in Pennington, New Jersey

NPI Number1205309762
Practice location
6403 Forge Cir, Pennington, NJ 08534-4628
Fax
—
Last updated
December 5, 2025

Katherine Lynn Chisholm is a Counselor, Professional based in Pennington, NJ. Katherine Lynn Chisholm practices in Pennington, NJ and has the professional credentials of PHD, MBA, LPC. The NPI Number for Katherine Lynn Chisholm is 1205309762 and holds a License No. 37PC01118500 (NJ). The current practice location address for Katherine Lynn Chisholm is 6403 Forge Cir, Pennington, NJ 08534-4628 and can be reached out via phone at 856-843-4348.

Provider Profile Details

NPI Number
1205309762
Provider Name
Katherine Lynn Chisholm
Credential
PHD, MBA, LPC
Provider Entity Type
Individual
Gender
Female
Address
6403 Forge Cir, Pennington, NJ 08534-4628
Phone Number
856-843-4348
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
January 8, 2019
Last Update Date
December 5, 2025
Certification Date
December 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
6403 Forge Cir
Pennington, NJ 08534-4628
Zip
08534-4628
Phone Number
856-843-4348
Pennington, NJ 08534Get directions →

Provider Business Mailing Address Details

Address
6403 Forge Cir
Pennington, NJ 08534-4628
City
Pennington
State
NJ
Zip
08534-4628
Phone Number
856-843-4348

License Information

License Number (1)
37PC01118500
License State (1)
NJ
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
PC-0011729
License State (2)
DE
Taxonomy (2)
Counselor, Professional · 101YP2500X
License Number (3)
PC010880
License State (3)
PA
Taxonomy (3)
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katherine L Chisholm, PHD, MBA, LPC?

The NPI number of Katherine L Chisholm, PHD, MBA, LPC is 1205309762. It was assigned on January 8, 2019 and is currently active in the NPPES registry.

What is the specialty of Katherine L Chisholm, PHD, MBA, LPC?

Katherine L Chisholm, PHD, MBA, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC01118500.

Where does Katherine L Chisholm, PHD, MBA, LPC practice?

The practice location is 6403 Forge Cir, Pennington, NJ 08534-4628. The office can be reached at 856-843-4348 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205309762 directly on the NPPES registry website.

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